CAJ | 학술논문

目的探讨肝叶切除术治疗肝内胆管结石的有效性.方法回顾性分析63例肝内胆管结石行肝叶切除治疗患者的临床资料.结果全组患者均痊愈出院,无手术死亡病例,平均住院30.5 d.术后发生并发症9例,占14.3%.其中膈下感染或脓肿2例,胆瘘2例,切口感染4例,胸腔积液1例.结石残留7例,占11.1%,其中左肝内叶残留结石4例,右肝后叶残留结石3例.全组患者62例获随访6个月至8年,随访率为98.4%,术后复发2例,优良率96.8%.结论肝叶切除术是治疗肝内胆管结石较好的方法,注重术前定位诊断和围手术期处理、手术方法和术式选择可明显降低残石率,减少并发症的发生.
목적 탐토간협절제술치료간내담관결석적유효성.방법 회고성분석63례간내담관결석행간협절제치료환자적림상자료.결과 전조환자균전유출원,무수술사망병례,평균주원30.5 d.술후발생병발증9례,점14.3%.기중격하감염혹농종2례,담루2례,절구감염4례,흉강적액1례.결석잔류7례,점11.1%,기중좌간내협잔류결석4례,우간후협잔류결석3례.전조환자62례획수방6개월지8년,수방솔위98.4%,술후복발2례,우량솔96.8%.결론 간협절제술시치료간내담관결석교호적방법,주중술전정위진단화위수술기처리、수술방법화술식선택가명현강저잔석솔,감소병발증적발생.
Objective To evaluate the clinical efficacy of partial hepatectomy in treating intrahepatolithiasis. Methods The data of 63 cases with partial hepatectomy were retrospectively evaluated. Results All operations were successful. Mean hospital stay was 30.5d. Complications were found in 9 cases (14.3%), including 2 cases of sub-phrenic abacess,2 cases of biliary fistula,4 cases of wound infectiun,1 case of pleural effusion. Residual stones were found in 7 cases (11.1%) ,4 were in left hepatic lobe,3 were in right. 62 cases (98.4%) were followed for 6 months to 8 years. Stones recurred in 2 cases. Conclusion Partial hepatectomy is effective for the treatment of intrahepatoli-thiasis with low residual stone rate.